Individual
DR. J FREDERICK HYDUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-8100
Mailing address
PO BOX 760, NEWBERN, VA 24126-0760
(540) 994-8516
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101043589
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005752345
—
VA
Enumeration date
01/04/2008
Last updated
08/16/2016
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